3364433 Jobs Found for Board Of Veterans Appeals
Grievance & Appeals Coordinator Remote Full-Time About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,00...
Description As the Appeal & Grievance Specialist, you will be responsible for: Managing the intake and resolution of member and provider appeals and grievances in compliance with CMS (Centers for Medicare & Medicaid Services) regulations for Medicare Advantage plans. Ensuring that all cases are processed within mandated timeframes and that clear, ...
Job Description Fully REMOTE Opportunity Job Summary Details The Grievances and Appeals Analyst I will be responsible for investigating and resolving member, Health Plan Partner-member and network provider grievances and appeals. Identify, analyze and research both pre- and post-service denials for both members and providers to identify discrepan...
Company Description As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow,...
Job Title: Appeals Specialist III / Member Service Rep III Client: Health Care Insurance Duration: 4 Months Location: Baltimore, MD 21224 (Mandatory- 100% remote however the resource must reside in District of Columbia, Maryland, Virginia(DMV) Job Title: Appeals Specialist III Responsibilities: Assist Manager, Supervisors, and Business Analysts ...
Job Title: Sr. Appeals Admin Job Location: Remote, NY Job Duration: 6 months (High possibility of extension and contract to hire based on performance) Shift: M-F 8:00 Am - 5:00 Pm Pay Rate: $16.20/hr on w2 Job Description: Assist with daily clerical tasks with an ability to prioritize workflow. Provide verbal decisions, appeal acceptance, re...
100% remote. Any state is fine, but they should be able to work East Coast normal business hours. They'll be provided a laptop and peripherals The role we are looking to fill would be focused on handling standard member appeals for pre-service pharmacy coverage for non-Medicare products, the turnaround times for these appeals is 30 calendar da...
Requirements: Candidates should have minimum of 1+ years of experience in member appeals (not provider claim appeals experience, though a combo of both member and provider is great!). Candidates should have experience with Pharmacy benefit management (PBM).
Job description Job Title: Paralegal for Board of Reg. in Nursing Duration: 8 Months Contract + Possibility of Extension/FTE Location: Boston, MA 02108 Pay Rate: $35.00 – 36.00 Hourly JOB SUMMARY Must be a certified Paralegal. Complete Description: Once the resolution of the case is determined, the paralegal will complete data entry onto exc...
Paralegal for Board of Reg. in Nursing Job Title: Paralegal for Board of Reg. in Nursing Duration: 8 Months Contract + Possibility of Extension/FTE Location: Boston, MA 02108 Pay Rate: $35.00 - 36.00 Hourly JOB SUMMARY: Must be a certified Paralegal. Complete Description: Once the resolution of the case is determined, the paralegal will compl...